| Bilateral renal infarction secondary to paradoxical embolism. | |
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MedLine Citation:
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PMID: 10516359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Paradoxical embolism is an uncommon but increasingly reported cause of arterial embolic events. Involvement of the kidney is rarely reported. Autopsy studies suggest, however, that embolic renal infarction is underdiagnosed antemortem. We report a case of bilateral, main renal artery occlusion and acute renal failure secondary to paradoxical embolism. Clinical and laboratory data at presentation were not suggestive of renal infarction. Support for the diagnosis of paradoxical embolism, which most commonly occurs across a patent foramen ovale, was made by contrast echocardiography, which provides a sensitive method for detecting right-to-left intracardiac shunts. The often subtle presentation of renal infarction suggests patients with peripheral or central arterial embolic events should be carefully observed for occult renal involvement. Contrast echocardiography should be performed when renal infarction occurs without a clear embolic source to evaluate for paradoxical embolism. |
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Authors:
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H B Carey; R Boltax; K W Dickey; F O Finkelstein |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 34 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 1999 Oct |
Date Detail:
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Created Date: 1999-10-25 Completed Date: 1999-10-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 752-5 Citation Subset: IM |
Affiliation:
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Departments of Nephrology, Vascular Surgery, and Radiology, Yale University and the Hospital of Saint Raphael, New Haven, CT, USA. hcarey@snet.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Embolism, Paradoxical / radiography* Heart Septal Defects, Atrial / complications Humans Infarction / radiography* Kidney / blood supply* Kidney Failure, Acute / radiography Male Renal Artery Obstruction / radiography* Thrombosis / radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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